| NPI | 1679197198 |
|---|---|
| Doing Business As | NORTH IDAHO SPINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADAM JAMES MANNINEN Member 406-548-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |